基于运气理论分析先天禀赋与急性心肌梗死发病相关性单中心研究

Analysis of Correlation of Innate Endowment with the Incidence of Acute Myocardial Infarction Based on the Theory of Circuit Qi:A Single-center Study

【目的】基于五运六气学说探讨先天禀赋与后天罹患急性心肌梗死(AMI)的相关性及其发病规律。【方法】对2018年1月至2021年6月广东省中医院大德路总院收治的506例符合纳入标准的AMI患者的出生日期五运六气分布特点进行统计,分析患者出生日期的年、月干支、岁运、主气、客气及司天/在泉的分布情况,探讨先天禀赋与后天AMI发病的相关性。【结果】研究结果发现,易患AMI人群出生日期的运气特点为年干为己(土运不及)、岁运为土运、月干为壬、月支为申(包含立秋、处暑2个节气)、主气为太阴湿土(四之气)、客气为少阴君火(二之气),司天/在泉为少阳相火/厥阴风木。其中,客气、司天/在泉分布比较,差异均有统计学意义(P<0.05)。【结论】患者出生日期的五运六气分布特点与后天罹患AMI具有相关性。

Objective To explore the correlation of innate endowment with the incidence of acute myocardial infarction(AMI)and its occurrence regularity based on the theory of five circuit phases and six climatic factors.Methods A total of 506 patients with AMI who met the inclusion criteria and were admitted to Guangdong Provincial Hospital of Traditional Chinese Medicine from January 2018 to June 2021 were enrolled into the study.The distribution of the birth date of the patients in terms of the characteristics of the five circuit phases and six climatic factors was investigated,which involved the distribution of ganzhi(heavenly stems and earthly branches)of the birth year and birth month,suiyun(yearly evolutive phase),zhuqi(regular yearly circuit qi),keqi(alterable yearly circuit qi)and the sitian(the first half of the alterable yearly circuit qi)/zaiquan(the second half of the alterable yearly circuit qi).And then the correlation of innate endowment with the onset of AMI was explored.Results The results showed that the characteristics of circuit qi in the birth date of the AMI-prone population were as follows:the heavenly stem of the birth year belonged to ji(the 6th of the ten heavenly stems),indicating the insufficiency of the earth phase(spleen);suiyun(yearly evolutive phase)belonged to earth phase;the heavenly stem of the birth month belonged to ren(the 9th of the ten heavenly stems)and the earthly branch of the birth month belonged to shen(the 9th of the twelve earthly branches),including the Beginning of Autumn(the 13th solar term)and the Limit of Heat(the 14th solar term)of the 24 solar terms;zhuqi(regular yearly circuit qi)belonged to taiyin damp-earth(the fourth circuit qi in the theory of six climatic factors);keqi(alterable yearly circuit qi)belonged to shaoyin monarch fire(the second circuit qi in the theory of six climatic factors);sitian(the first half of the alterable yearly circuit qi)belonged to shaoyang ministerial fire and zaiquan(the second half of the alterable yearly circuit qi)belonged to jueyin wind-wood.There were statistically significant differences in the distribution of keqi and sitian/zaiquan(P<0.05).Conclusion The onset of acute myocardial infarction is correlated with the distribution of five circuit phases and six climatic factors of the patient’s date of birth.